咨询描述:猫咪眼睛流泪有分泌物,造成眼周白色毛发变黄,从小就开始了,现在它已经三四个月大了,症状比小时候有所减轻。一个多月大的时候用过一周****滴眼液,停用了,效果一般。它的眼部炎症不传染,因为家里和它一起生活的猫咪没有这种现象。未到医院检查过。它生活正常,没有发现生活不适的情况。
回复总结:猫咪眼睛流泪并且有分泌物,考虑是眼睑发炎导致的症状。处理办法上,建议带猫咪去就近宠物医院做分泌物显微镜检查、血液检查以及鼻泪管检查,进一步确诊病因以及发病程度,然后针对性的用药治疗。如果暂时不方便就诊,建议先给猫咪口服宠物专用广谱消炎药,同时配合使用宠物专用消炎杀菌的滴眼液。
问题大致一样,细节不同?
陈奕达
执业兽医师
您好,猫咪家长,根据您以上描述,我初步分析猫咪很有可能是由于局部结膜发炎,或者有鼻泪管阻塞的问题引发了一系列症状。
为了更好的帮助宝贝,我还有几个问题需要向您了解一下,
1. 猫咪是否抓挠,剐蹭眼睛?;
2. 多久做一次眼部护理?擦拭冲洗眼睛?
3.图片上是您清理之后的眼睛,还是没有清理的?
4. 猫咪平时饲养在哪里?是否自行出门玩耍?
并无抓挠剐蹭眼睛
每天早上会用湿巾给它擦一下脸,带一下眼睛,主要是擦掉眼屎啥的,没有特意做眼部的冲洗和护理,一下擦不掉的也没有用力给它处理,就那样带着了。
图片上是早上擦过脸了
生活在农村,平时白天放出去玩,晚上关在屋子里
陈奕达
执业兽医师
根据您描述的症状以及提供的信息,以个人的经验判断宝贝是由于局部眼睑发炎,从而导致了一系列症状。跟生活环境的卫生以及条件,多少有一定的关系。同时需要考虑是否有鼻泪管阻塞的问题,但是由于没有检查化验结果,无法百分之百确诊具体病因(个人可以70-80%判断是由于局部眼睑发炎引发)。所以这种情况有两个建议供您采纳,
1.如果条件允许的情况下,建议去就近宠物医院化验宝贝的眼睛分泌物显微镜,血液,鼻泪管检查,进一步确诊病因以及发病程度,然后针对性的用药治疗,效果是最好的。
2.如果暂时不方便就诊,可以在家先给宝贝吃一些宠物专用广谱消炎的口服药,配合宠物专用广谱消炎杀菌滴眼液来进行治疗,观察一段时间。
(但是还需要提示您一下,因为宝贝并没有百分之百确诊病因,所以在家观察治疗,可能会有严重发展的情况,还请您慎重考虑)
然后您可以(申请处方,告诉我宝贝是否有过敏史👌 )我这边可以根据宝贝现在的症状给您制定一套适合宝贝的用药方案,供您采纳。
陈奕达
执业兽医师
给您推荐的是宠物专用广谱消炎口服药,以及广谱消炎杀菌滴眼液的药物。如果要是严重感染,或者特殊病源感染,治疗效果可能没有想象当中那么好。可以先用药4-5天,如果5天后效果非常好的情况下,可以持续用药1-2周左右。如果效果不理想,一定及时就诊治疗。
然后您可以用药7天后找我复诊,我会根据宝贝恢复的情况来帮您重新制定或者调整治疗方案。
医生建议及处方根据当前病情给出,仅适用于本次问诊
蘑菇宠医处方笺
用法用量需根据患宠的年龄、体重等信息开具,此处方暂不展示
{"356203":{"id":356203,"case_id":41215,"user_id":1249218,"to_user_id":1826294,"type":3,"content":"给您推荐的是宠物专用广谱消炎口服药,以及广谱消炎杀菌滴眼液的药物。如果要是严重感染,或者特殊病源感染,治疗效果可能没有想象当中那么好。可以先用药4-5天,如果5天后效果非常好的情况下,可以持续用药1-2周左右。如果效果不理想,一定及时就诊治疗。\n\n\n然后您可以用药7天后找我复诊,我会根据宝贝恢复的情况来帮您重新制定或者调整治疗方案。","media":{"images":{},"videos":{},"business_params":{"prescription_id":100130}},"is_doctor":1,"status":1,"created_at":"2022-01-09 12:42:38","show_rx":true,"rx_info":{"id":100130,"rx_no":2.0220109124228503e+24,"user_id":1826294,"doctor_user_id":1249218,"is_independent":0,"case_id":2566302,"pet_info":{"pet_id":265429,"pet_name":"田园猫奶牛花","pet_nickname":"小花","pet_gender":2,"pet_birth":"0-6","pet_weight":2,"pet_vaccination_status":0,"pet_in_insect_repellent_status":0,"pet_out_insect_repellent_status":0,"pet_age_format":"6个月"},"diagnose":"初步分析是由于眼睑局部发炎,引发了一系列症状。(有待进一步确诊)","signature":"\/signature\/2021\/12\/c9bc3ee36e7e61a8a6b1d241ce0cd612.png","deadline":null,"status":1,"send_status":1,"use_status":0,"created_at":"2022-01-09 12:42:28","updated_at":"2022-01-09 12:42:38","deleted_at":null,"from_source":"online","template_id":0,"drug_data":{"0":{"id":303,"prescription_id":100130,"doctor_user_id":1249218,"product_id":712,"product_sku_id":755,"dose":20,"dose_unit":"mg","use_method":"口服","frequency":"每天2次","days":7,"number":1,"remark":"宠物专用广谱消炎,控制炎症","created_at":"2022-01-09 12:42:28","updated_at":"2022-01-09 12:42:28","product_info":{"id":712,"hash_id":"VjX39W4z2B4Q0bvZ","class_ids":{"0":1,"1":2},"category_ids":{"2":163},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":3,"sell_point":"速诺(阿莫西林克拉维酸钾片)50mg","title":"辉瑞速诺(阿莫西林克拉维酸钾片) 50mg×10片\/板","recommend_reason":{"0":"适用于宠物由敏感细菌引起的皮肤及软组织感染、呼吸道感染","1":"治疗宠物革兰氏阴性和革兰氏阳性敏感细菌的感染","2":"用于肠炎及其他感染,如中耳炎、骨髓炎、败血症、腹膜炎和手术后感染"},"baike_guide_text":"","baike_article_hash_id":"","advword":"呼吸道感染,肠炎,腹泻,便血,真菌感染,猫癣,脓皮症","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"50mg规格1板"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/26f5438f35ed21efc2894dffea9f399f.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":48,"max_price":48,"sale_count":1726,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-16 15:50:13","updated_at":"2024-11-24 15:58:02","ins":{"id":3,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"阿莫西林克拉维酸钾片","trade_name":"速诺","en_name":"Synulox Palatable Tablets","brand_name":"辉瑞","is_prescription":1,"cover":"\/drug\/2020\/10\/46c3ccae52804b92b0e341800e809e95.JPG","specification":"50mg×10片×10板\/盒","reference_price":800,"component":"阿莫西林和克拉维酸钾","indication":"适用于犬猫由敏感细菌引起的各种感染,及治疗犬猫革兰氏阴性和革兰氏阳性敏感细菌的感染。\n1、如皮肤及软组织感染脓性皮炎、脓肿和肛腺炎、蜂窝组织炎、伤口感染、腹内脓毒症等。\n2、牙感染(牙龈炎)。\n3、尿道感染,如膀胱炎、尿道炎、肾盂肾炎、前列腺炎、盆腔炎、淋病奈瑟菌尿路感染及软性下疳等。\n4、呼吸道感染,如鼻窦炎、扁桃体炎、咽炎、急慢性支气管炎、慢性支气管炎急性发作、肺炎、肺脓肿和支气管合并感染。\n5、肠炎及其他感染,如中耳炎、骨髓炎、败血症、腹膜炎和手术后感染等。","usage_dosage":"口服。每天吃2次,连用5-7天。每次用量如下:\n体重1-2kg,吃半粒; \n体重3-5kg,吃1粒; \n体重6-9kg,吃2粒;\n体重10-13kg,吃3粒;\n体重14-18kg,吃4粒;\n体重≥19kg,请购买同品250mg规格的产品。\n\n注:一些慢性感染(慢性皮炎、慢性膀胱炎和慢性呼吸道感染)的治疗可连用10-28天。","contraindication":"1. 仓鼠、豚鼠、沙鼠、灰鼠和家兔禁用。\n2. 其他草食动物慎用。\n3.对青霉素过敏者禁止接触本品。","adverse_reaction":"1.恶心、腹泻和皮肤丘疹是最常见的不良反应。\n2.本品为青霉素类药物,若出现过敏反应可使用肾上腺素治疗。","attention":"1.不要对病情严重的动物使用口服抗生素,因其胃肠道吸收可能不可靠,这些患病动物可能需要静脉注射剂。\n2.避免在对其他β-内酰胺类抗菌药(包含头孢菌素类)有过敏反应的动物使用。\n3.片剂由防潮箔包裹,给药前不要取出。\n4.对青霉素过敏者如果不慎接触,应该立刻去找医生救助。\n5.孕畜慎用。\n4.使用后请洗手。\n5.不要让小孩接触到此产品。","interaction":"1.避免同时使用抑菌性抗生素(如四环素、红霉素)。\n2.不要给鸟类同时使用别嘌呤醇、β-内酰胺和氨基糖苷类抗菌剂在体内有协同作用。\n3.本品和氨苄西林有完全交叉耐药性,与青霉素类和头孢菌素类有交叉耐药性。","approval_no":"(2018)外兽药证字10号","storage_method":"密封,在凉暗干燥处保存。","validity":"2年","manufacturer":"意大利豪普特制药厂(Haupt Pharma Latina S.R.L)","status":1,"created_at":"2020-10-21 13:48:10","updated_at":"2020-10-23 15:55:39"}},"product_sku_info":{"id":755,"product_id":712,"title":"辉瑞速诺(阿莫西林克拉维酸钾片) 50mg×10片\/板","advword":null,"price":48,"market_price":59,"cost_price":0,"stock":9240,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"50mg规格1板"}},"cover":null,"thumb":"","sale_count":1817,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-16 15:50:13","updated_at":"2024-11-24 11:58:14"}},"1":{"id":304,"prescription_id":100130,"doctor_user_id":1249218,"product_id":809,"product_sku_id":851,"dose":0.2,"dose_unit":"ml","use_method":"滴眼","frequency":"每天3次","days":7,"number":1,"remark":"宠物专用广谱消炎杀菌滴眼液","created_at":"2022-01-09 12:42:28","updated_at":"2022-01-09 12:42:28","product_info":{"id":809,"hash_id":"lazo6rxWAJ4OqD9E","class_ids":{"1":2},"category_ids":{"20":181},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":154,"sell_point":"百灵复方胆参抑菌明目液 (猫用)","title":"贝里奥百灵复方胆参明目液 麝香珍珠抑菌液(猫用) 15ml\/瓶","recommend_reason":{"0":"用于犬猫角膜溃疡、脓性结膜炎、角膜炎症","1":"用于眼外科术后的治疗与恢复","2":"用于眼部因细菌病毒真菌引起的感染"},"baike_guide_text":"","baike_article_hash_id":"","advword":"抑菌液,结膜炎,角膜炎,眼药水,明目","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"15ml"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/763075019059809231801363b1f01ef1.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":48,"max_price":48,"sale_count":94,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-21 16:30:06","updated_at":"2024-11-22 09:21:33","ins":{"id":154,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"复方麝香珍珠抑菌液","trade_name":"明目液","en_name":"","brand_name":"贝里奥","is_prescription":0,"cover":"\/drug\/2021\/03\/583ebbd37d8321f5c7870427da0e8bca.jpg","specification":"15ml\/瓶","reference_price":80,"component":"麝香、珍珠、人参、芦荟、菊花、决明子、冰片、细胞集落因子、氯已定、甘油。","indication":"1.用于治疗犬猫各种原因引起角膜溃疡、脓性结膜炎、角膜炎症\n2.眼外科术后的治疗与恢复\n3.对于眼部因细菌病毒真菌引起的感染均有效\n4.安全无毒无刺激","usage_dosage":"可将胆参明目液滴于犬猫眼睛感染部位,眼睑眼角眼皮眼眶肿胀部位不可将管嘴接触,感染部位每日上药2次,按病情使用1至2周或遵守医嘱用2-3滴即可。","contraindication":"","adverse_reaction":"","attention":"1.仅限眼部使用,过敏禁用性状改变时禁止使用,将本品放置于儿童无法接触的地方,涂眼前,注意清洁双手,管口勿接触手和眼睛防止损伤盒污染。\n2.请勿与碘、过氧化氢产品合用。","interaction":"","approval_no":"","storage_method":"密封置阴凉干燥处。","validity":"2年","manufacturer":"河南威灵仙宠生物科技有限公司","status":1,"created_at":"2021-03-11 15:30:26","updated_at":"2021-03-11 15:30:26"}},"product_sku_info":{"id":851,"product_id":809,"title":"贝里奥百灵复方胆参明目液 麝香珍珠抑菌液(猫用) 15ml\/瓶","advword":null,"price":48,"market_price":60,"cost_price":0,"stock":51,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"15ml"}},"cover":null,"thumb":"","sale_count":100,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-21 16:30:06","updated_at":"2024-11-23 19:40:50"}}},"drug_data_bak":{"0":{"id":303,"prescription_id":100130,"doctor_user_id":1249218,"product_id":712,"product_sku_id":755,"dose":20,"dose_unit":"mg","use_method":"口服","frequency":"每天2次","days":7,"number":1,"remark":"宠物专用广谱消炎,控制炎症","created_at":"2022-01-09 12:42:28","updated_at":"2022-01-09 12:42:28","product_info":{"id":712,"hash_id":"VjX39W4z2B4Q0bvZ","class_ids":{"0":1,"1":2},"category_ids":{"2":163},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":3,"sell_point":"速诺(阿莫西林克拉维酸钾片)50mg","title":"辉瑞速诺(阿莫西林克拉维酸钾片) 50mg×10片\/板","recommend_reason":{"0":"适用于宠物由敏感细菌引起的皮肤及软组织感染、呼吸道感染","1":"治疗宠物革兰氏阴性和革兰氏阳性敏感细菌的感染","2":"用于肠炎及其他感染,如中耳炎、骨髓炎、败血症、腹膜炎和手术后感染"},"baike_guide_text":"","baike_article_hash_id":"","advword":"呼吸道感染,肠炎,腹泻,便血,真菌感染,猫癣,脓皮症","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"50mg规格1板"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/26f5438f35ed21efc2894dffea9f399f.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":48,"max_price":48,"sale_count":1726,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-16 15:50:13","updated_at":"2024-11-24 15:58:02","ins":{"id":3,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"阿莫西林克拉维酸钾片","trade_name":"速诺","en_name":"Synulox Palatable Tablets","brand_name":"辉瑞","is_prescription":1,"cover":"\/drug\/2020\/10\/46c3ccae52804b92b0e341800e809e95.JPG","specification":"50mg×10片×10板\/盒","reference_price":800,"component":"阿莫西林和克拉维酸钾","indication":"适用于犬猫由敏感细菌引起的各种感染,及治疗犬猫革兰氏阴性和革兰氏阳性敏感细菌的感染。\n1、如皮肤及软组织感染脓性皮炎、脓肿和肛腺炎、蜂窝组织炎、伤口感染、腹内脓毒症等。\n2、牙感染(牙龈炎)。\n3、尿道感染,如膀胱炎、尿道炎、肾盂肾炎、前列腺炎、盆腔炎、淋病奈瑟菌尿路感染及软性下疳等。\n4、呼吸道感染,如鼻窦炎、扁桃体炎、咽炎、急慢性支气管炎、慢性支气管炎急性发作、肺炎、肺脓肿和支气管合并感染。\n5、肠炎及其他感染,如中耳炎、骨髓炎、败血症、腹膜炎和手术后感染等。","usage_dosage":"口服。每天吃2次,连用5-7天。每次用量如下:\n体重1-2kg,吃半粒; \n体重3-5kg,吃1粒; \n体重6-9kg,吃2粒;\n体重10-13kg,吃3粒;\n体重14-18kg,吃4粒;\n体重≥19kg,请购买同品250mg规格的产品。\n\n注:一些慢性感染(慢性皮炎、慢性膀胱炎和慢性呼吸道感染)的治疗可连用10-28天。","contraindication":"1. 仓鼠、豚鼠、沙鼠、灰鼠和家兔禁用。\n2. 其他草食动物慎用。\n3.对青霉素过敏者禁止接触本品。","adverse_reaction":"1.恶心、腹泻和皮肤丘疹是最常见的不良反应。\n2.本品为青霉素类药物,若出现过敏反应可使用肾上腺素治疗。","attention":"1.不要对病情严重的动物使用口服抗生素,因其胃肠道吸收可能不可靠,这些患病动物可能需要静脉注射剂。\n2.避免在对其他β-内酰胺类抗菌药(包含头孢菌素类)有过敏反应的动物使用。\n3.片剂由防潮箔包裹,给药前不要取出。\n4.对青霉素过敏者如果不慎接触,应该立刻去找医生救助。\n5.孕畜慎用。\n4.使用后请洗手。\n5.不要让小孩接触到此产品。","interaction":"1.避免同时使用抑菌性抗生素(如四环素、红霉素)。\n2.不要给鸟类同时使用别嘌呤醇、β-内酰胺和氨基糖苷类抗菌剂在体内有协同作用。\n3.本品和氨苄西林有完全交叉耐药性,与青霉素类和头孢菌素类有交叉耐药性。","approval_no":"(2018)外兽药证字10号","storage_method":"密封,在凉暗干燥处保存。","validity":"2年","manufacturer":"意大利豪普特制药厂(Haupt Pharma Latina S.R.L)","status":1,"created_at":"2020-10-21 13:48:10","updated_at":"2020-10-23 15:55:39"}},"product_sku_info":{"id":755,"product_id":712,"title":"辉瑞速诺(阿莫西林克拉维酸钾片) 50mg×10片\/板","advword":null,"price":48,"market_price":59,"cost_price":0,"stock":9240,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"50mg规格1板"}},"cover":null,"thumb":"","sale_count":1817,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-16 15:50:13","updated_at":"2024-11-24 11:58:14"}},"1":{"id":304,"prescription_id":100130,"doctor_user_id":1249218,"product_id":809,"product_sku_id":851,"dose":0.2,"dose_unit":"ml","use_method":"滴眼","frequency":"每天3次","days":7,"number":1,"remark":"宠物专用广谱消炎杀菌滴眼液","created_at":"2022-01-09 12:42:28","updated_at":"2022-01-09 12:42:28","product_info":{"id":809,"hash_id":"lazo6rxWAJ4OqD9E","class_ids":{"1":2},"category_ids":{"20":181},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":154,"sell_point":"百灵复方胆参抑菌明目液 (猫用)","title":"贝里奥百灵复方胆参明目液 麝香珍珠抑菌液(猫用) 15ml\/瓶","recommend_reason":{"0":"用于犬猫角膜溃疡、脓性结膜炎、角膜炎症","1":"用于眼外科术后的治疗与恢复","2":"用于眼部因细菌病毒真菌引起的感染"},"baike_guide_text":"","baike_article_hash_id":"","advword":"抑菌液,结膜炎,角膜炎,眼药水,明目","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"15ml"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/763075019059809231801363b1f01ef1.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":48,"max_price":48,"sale_count":94,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-21 16:30:06","updated_at":"2024-11-22 09:21:33","ins":{"id":154,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"复方麝香珍珠抑菌液","trade_name":"明目液","en_name":"","brand_name":"贝里奥","is_prescription":0,"cover":"\/drug\/2021\/03\/583ebbd37d8321f5c7870427da0e8bca.jpg","specification":"15ml\/瓶","reference_price":80,"component":"麝香、珍珠、人参、芦荟、菊花、决明子、冰片、细胞集落因子、氯已定、甘油。","indication":"1.用于治疗犬猫各种原因引起角膜溃疡、脓性结膜炎、角膜炎症\n2.眼外科术后的治疗与恢复\n3.对于眼部因细菌病毒真菌引起的感染均有效\n4.安全无毒无刺激","usage_dosage":"可将胆参明目液滴于犬猫眼睛感染部位,眼睑眼角眼皮眼眶肿胀部位不可将管嘴接触,感染部位每日上药2次,按病情使用1至2周或遵守医嘱用2-3滴即可。","contraindication":"","adverse_reaction":"","attention":"1.仅限眼部使用,过敏禁用性状改变时禁止使用,将本品放置于儿童无法接触的地方,涂眼前,注意清洁双手,管口勿接触手和眼睛防止损伤盒污染。\n2.请勿与碘、过氧化氢产品合用。","interaction":"","approval_no":"","storage_method":"密封置阴凉干燥处。","validity":"2年","manufacturer":"河南威灵仙宠生物科技有限公司","status":1,"created_at":"2021-03-11 15:30:26","updated_at":"2021-03-11 15:30:26"}},"product_sku_info":{"id":851,"product_id":809,"title":"贝里奥百灵复方胆参明目液 麝香珍珠抑菌液(猫用) 15ml\/瓶","advword":null,"price":48,"market_price":60,"cost_price":0,"stock":51,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"15ml"}},"cover":null,"thumb":"","sale_count":100,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-21 16:30:06","updated_at":"2024-11-23 19:40:50"}}}}}}
微信扫一扫
立即问宠医